NPI | 1184875890 |
---|---|
Former Name | LAURA LANE ALDERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2962) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 961) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2024-07-15 |